Nina Nettles

LBN: Nina Nettles
Nina Nettles is an health care organization with primary practice located at 3643 E Emile Zola Ave , Phoenix AZ 85032-6219. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, which is considered as the primary health care specialty. Nina Nettles can be contacted via phone (602) 867-7500, or through Nettles, Nina Fae via phone (602) 867-7500.

Contact Information

Primary practice address
3643 E Emile Zola Ave Phoenix AZ 85032-6219
Phone: (602) 867-7500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nettles, Nina Fae
Phone: (602) 867-7500

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X BH2458 Arizona

Profile Details

NPI number 1124165469
LBN Legal business name Nina Nettles
DBA Doing business as
Authorized official Nettles, Nina Fae
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Jun 16th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124165469 NPPES
Arizona MEDICAID 873936
Arizona Other BH2458

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